Medicare
Credentialing and enrollment guides for Medicare across 51 states.
Quick Overview
Timeline
60 - 90 days
CAQH
Required
Re-credentialing
Every 3 year(s)
States Available
51
About Medicare
Medicare is the federal health insurance program for people 65 and older, certain younger people with disabilities, and people with End-Stage Renal Disease. Medicare Part B covers outpatient services and requires provider enrollment through PECOS.
How to Get Credentialed
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and board certifications.
Complete Your CAQH ProView Profile
Medicare requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org.
Submit Your Application
Submit your completed enrollment package to Medicare. Select your state below for state-specific submission details.
Track & Follow Up
Credentialing typically takes 60-90 days. Monitor your application and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with Medicare?
Our specialists handle the entire Medicare enrollment process: applications, follow-ups, and approvals across all 50 states.
Contact Information
Medicare Provider Enrollment (PECOS)
1-866-837-0241
Mon-Fri 8am-6pm ET
Medicare Provider Contact Center
1-855-798-2627
Mon-Fri 8am-6pm local time
Medicare EDI/EFT Support
1-866-837-0241
Quick Links
Available States
+ 36 more states below
Reviewed by the PayerReady Credentialing Team
Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.
Select Your State
Choose your state for Medicare-specific credentialing details including timelines, contacts, and local requirements.